吞咽障碍评估引导营养支持护理对脑卒中后患者恢复的影响

Effect of nutritional support care guided by dysphagia assessment on recovery of patients after stroke

目的研究吞咽障碍评估引导营养支持护理对脑卒中后患者恢复的影响,为患者的恢复提供临床指导。方法选取某院2018年1~12月期间接诊的60例脑卒中后患者作为研究对象。按照随机数字表法将其随机分为两组,每组30例。对照组采用常规营养支持护理措施实施干预,研究组采用吞咽障碍评估引导营养支持护理实施干预。干预后,检测两组患者的血清总蛋白、血清血红蛋白、血清白蛋白等含量,并对两组患者吞咽障碍恢复情况、住院时间及并发症状况进行记录分析。结果干预后,研究组患者的总有效率为86.7%,明显高于对照组的63.3%,差异有统计学意义(P<0.05)。研究组患者的血清总蛋白、血清白蛋白、血清红蛋白含量均明显高于对照组(P<0.05)。研究组患者的住院时间明显短于对照组,研究组患者的并发症总发生率为10.0%,明显低于对照组的33.3%,(P<0.05)。结论吞咽障碍评估引导营养支持护理能明显改善脑卒中后患者恢复状况,缩短住院时间,降低并发症发生率,值得广泛应用。

Objective To study the effect of nutritional support care guided by dysphagia assessment on the recovery of post-stroke patients and to provide clinical guidance for the recovery of patients. Methods 60 post-stroke patients who were admitted from January to December 2018 in a hospital were selected as subjects. They were randomly grouped according to the random number table method, with 30 cases in each group. The control group was treated with routine nutritional support nursing measures, and the study group used dysphagia assessment to guide the implementation of nutritional support nursing intervention. After the intervention, serum total protein, serum myoglobin, serum albumin and other levels of two groups were measured, and the recovery of dysphagia, hospitalization time, and complications of two groups were recorded and analyzed. Results After the intervention, the total effective rate was 86.7% in the study group and 63.3% in the control group. The total effective rate of the control group was significantly lower than that of the study group, and the difference was statistically significant(P<0.05). Serum total protein, serum albumin and serum hemoglobin levels in the study group were significantly higher than those in the control group(P<0.05). The hospitalization time of the study group patients was significantly shorter than that of the control group. The total incidence of complica tions in the study group was 10.0%, which was significantly lower than that of the control group(33.3%),(P<0.05). Conclusion Nutritional support care guided by dysphagia assessment can significantly improve the recovery of patients after stroke, shorten the length of hospital stay, and reduce the incidence of complications. It is worthy of wide application.